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Aging & Disability

ASPE produces policy research focusing on older adults, Medicare, dual-eligible beneficiaries, individuals with disabilities, Alzheimer’s disease, dementia, and caregivers. Resources relating to aging and disability include advance directives, end-of-life care planning, elder abuse, long-term services and supports (LTSS), home and community-based services (HCBS), and healthy aging.

Reports

Displaying 1 - 10 of 695. 10 per page. Page 1.

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ASPE Issue Brief, Report

High Risk of Discharge from Nursing Facilities

September 29, 2022
People can be discharged from nursing homes for many reasons. Discharges may be a positive outcome and at an individual’s choice. In other cases, discharges may be at the direction of the facility and against the will of the resident. There are strict rules about when involuntary facility-initiated discharges (FIDs) are allowed.
Research Brief

Long-Term Services and Supports for Older Americans: Risks and Financing, 2022

September 27, 2022
This Brief presents information about the risk of needing care and associated costs to provide content for policymakers and others considering long-term care financing proposals. It revises a brief that was written in October 2020.
ASPE Issue Brief

State Use of Value-Based Payment in Nursing Facilities Issue Brief

September 6, 2022
Payers across the health care spectrum have begun transitioning from paying for quantity toward paying for quality. These value-based payment (VBP) programs vary in scope and focus, but generally share the goals of improving cost-savings and linking payments to value rather than volume.
Report

Opioid Use in Long-Term Care Settings: Final Report

August 9, 2022
Opioid use was very common among the long-term care (LTC) residents in our sample. Perhaps reflecting their post-acute rehabilitative needs, discharged residents were more likely to have opioid use prior to LTC admission and at the beginning of the LTC stay.
Report

Improving Data Infrastructure for Patient-Centered Outcomes Research for People with Intellectual and Developmental Disabilities

July 26, 2022
This report describes insights gained from key informant interviews and an ASPE-hosted listening session on short-term opportunities for improving patient-centered outcomes research (PCOR) data infrastructure that addresses the needs of individuals with intellectual and developmental disabilities (ID/DD). Related Products:
Research Brief

Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Geographic Location and Quality

July 8, 2022
Newly released CMS skilled nursing facilities (SNF) Change of Ownership data (CHOW) data allows for a better understanding of how the nursing home ownership financial structures are changing. A total of 3,258 SNFs have been sold since 2016. Roughly 3.5% of skilled nursing facilities are sold in the US each year since then.
Report

Survey on Substance Use Disorder Patient Placement Criteria and Assessments

June 16, 2022
To identify and address gaps in substance use disorder (SUD) treatment capacity, state and federal policymakers need information on the need and demand for different SUD levels of care. To develop this information, this project fielded a survey of Single State Agencies for Substance Use Services and Medicaid agencies to every state and the District of Columbia.
ASPE Issue Brief

Federal Efforts to Address Racial and Ethnic Disparities in Alzheimer’s Disease and Related Dementias

June 7, 2022
The National Alzheimer’s Project Act (NAPA) requires “the inclusion of ethnic and racial populations at higher risk for Alzheimer's or least likely to receive care, in clinical, research, and service efforts with the purpose of decreasing health disparities in Alzheimer's”.1 In order to meet this requirement, in 2020 the Advisory Council on Alzheimer’s Research, Care, and Services recommended t
Report

Mitigating Direct Care Workforce Injuries in Homecare: A Summary of the Evidence

May 12, 2022
Due to the increasing demand for homecare workers and the high rate of occupational injuries among these workers, addressing homecare worker safety is critically important. High injury rates among homecare workers contribute to turnover and absenteeism, and lead to high costs of workers’ compensation insurance for employers.
Environmental Scan

Continuity of Care Services Following Coordinated Specialty Care: An Environmental Scan

May 2, 2022
This report provides an overview of transition services for clients graduating from Coordinated Specialty Care (CSC). CSC Programs have been successfully implemented across the US, including through support from the Community Mental Health Services Block Grant set aside funds for people with early psychosis.